Concussion Information

Wildcats Rugby Club adheres to the concussion testing and treatment policies of the US Rugby association. Further information on concussion testing program with Marin Catholic High School will be made available shortly. What follows are the general policies regarding concussion of athletes.

No Return to Play

Any athlete who exhibits signs and symptoms of concussion should be removed from play and should not participate in games or practices until they have been evaluated and given permission by an appropriate health care provider. Research indicates that high school athletes with less than 15 minutes of on-field symptoms exhibited deficits on formal neuropsychological testing and re-emergence of active symptoms, lasting up to one week post-injury."

Exertion

Symptoms will typically worsen or re-emerge with exertion, indicating incomplete recovery. If the athlete is symptom-free, provoking with exertion is recommended (e.g. 5 push-ups, 5 sit ups, 5 knee bends, 40 yard sprint).

Return to play should occur gradually. Individuals should be monitored by an appropriate health care provider for symptoms and cognitive function carefully during each stage of increased exertion.

Repeated Evaluation

On-field, follow-up evaluation (e.g. every 5 minutes) is important, as signs and symptoms of concussion may evolve over time.

Off-Field Management

The physician should provide information to parents/caregivers regarding the athlete's condition. For example, the athlete:

• Should not operate a motor vehicle or participate in activities such as sports, PE class, riding a bicycle, riding carnival rides, etc.

• May experience cognitive/behavioral difficulties at home, making it necessary to reduce physical and cognitive exertion (e.g., running, lifting weights, intensive studying) until fully recovered.

• Should receive follow-up medical and neuropsychological evaluation, both for managing injury and determining return to sports.

'Adapted from: Lovell MR, Collins MW, Iverson GL, Johnston KM, Bradley JP. Grade 1 or "ding" concussions in high school athletes. The American Journal of Sports Medicine 2004;32(1):47·54. 'Lovell MR, Collins MW, Bradley J. Return to play following sports-related concussion. Clinics in Sports Medicine 2004d

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